Heffern, Kristen J

Heffern, Kristen J is an individual health care provider with primary practice located at 1301 33Rd St S , Saint Cloud MN 56301-9668. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Heffern, Kristen J can be contacted via phone (320) 251-8181.

Contact Information

Primary practice address
1301 33Rd St S Saint Cloud MN 56301-9668
Phone: (320) 251-8181
Fax: (320) 257-1733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 34 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A086912 Iowa

Profile Details

NPI number 1013912559
LBN Legal business name Heffern, Kristen J
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Mar 26th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013912559 NPPES
Wisconsin MEDICAID 43832300

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